Christopher Michael Harper, DNP
Individual provider Active NPI Family Nurse Practitioner · Phoenix, AZ
NPI 1104469436 · NPPES record last updated Oct 18, 2019
Key facts
- NPI
- 1104469436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 233353 (AZ)
- Practice address
- 1510 E Flower Street
Phoenix, AZ 85014-5698 - Phone
- (602) 819-1909
- NPI assigned
- Oct 18, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arizona Supportive Care, LLC
Practice addresses (Care Compare)
1510 E Flower St
Phoenix, AZ 85014-5656
Phone (602) 530-6900
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191210003540 | AZ | Practitioner - Nurse Practitioner | 3971936634 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233353 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Supportive Care, LLC | Current |
Accepting new patients | |
| Geriatric Solutions - Hov, LLC | Current |
Accepting new patients | |
| Hospice of the Valley | Current |
Accepting new patients | |
| Hospice of the Valley | Current |
Accepting new patients |
Locations
1510 E Flower St
Phoenix, AZ 85014
Phone (602) 530-6900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 233353 | AZ | Yes |
Addresses
Primary practice location
1510 E Flower Street
Phoenix, AZ 85014-5698
Mailing address
3820 W Happy Valley Rd Ste 141-110
Glendale, AZ 85310-3292
Phone (602) 819-1909
Other providers in Phoenix, AZ
- Bridgette Harp
- Elizabeth Harp
- John Morin Harpenau
- Anne Harper
- Anya Harper
- Corey Harper
- Denise M Harper
- Erin Lea Harper
- Gina Harper
- Jessica Anne Harper
All providers in Phoenix, AZ · Family Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.